Advantmed’s cloud-based software containing NCQA-certified HEDIS® measures
The quality optimization process begins when ELEVATE! Quality Insights™ calculates all HEDIS® administrative measures as well as systematic hybrid samples for all hybrid-eligible measures included in NCQA’s Technical Specifications.
ELEVATE! Quality Insights™ also identifies service gaps for all product lines, including Medicare, Medicaid and Health Insurance Exchange plans. Uniquely, our ELEVATE! Healthcare™ platform builds off of the information produced by our HEDIS® measures or output from other HEDIS® reporting tools.
Advantmed incorporates ELEVATE! Quality Insights™ into our ELEVATE! Healthcare™ platform providing ongoing insights to understand the drivers of quality. ELEVATE! Quality Insights™ also provides the ability to take action through an optimal combination of services such as medical record retrieval, HEDIS® abstraction by clinical reviewers, identification of documentation/service gaps as well as member and provider engagement services to close gaps.
ELEVATE! Quality InsightsTM Features and Benefits:
In addition, during the review process, ELEVATE! Quality InsightsTM allows management to track reviewer progress, compare results between reviewers and measures, as well as monitor the changes to the HEDIS numerators, denominators and exclusions through review…all in real-time, as review happens.